| NPI | 1972667616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADIA DIAB SHAMARI Dentist 508-435-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA 18840) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 16452) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2017-05-02 |